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Asylum, and how trauma presents.

The standard at issueA well-founded fear of persecution on account of a protected ground.

Trauma shapes memory, disclosure and demeanour. At hearing, those effects are routinely read as inconsistency rather than as symptoms. The evaluation puts that on the record before anyone else characterises it.

What one telling capturesIllustrative · not case data
WHAT A FIRST TELLING CAPTURES WHAT IS ACTUALLY THERE FIRST ACCOUNTSESSION 2SESSION 3SESSION 4
PTSD
Assessed with normed trauma inventories
EN / ES
Conducted in the client's own language
7–10 days
Report turnaround, business days
DAPS
Trauma severity, measured not described
In order

What the evaluation documents.

Persecution leaves effects that are measurable. Each is assessed directly rather than inferred from the narrative.

01

Trauma sequelae

Intrusion, avoidance, hyperarousal and negative alterations in mood and cognition, measured against norms rather than described in adjectives.

02

Disclosure and memory

Why an account may emerge in fragments, out of order, or late. This is the part most often mistaken for untruthfulness.

03

Presentation at hearing

Flat affect, detachment and difficulty making eye contact are trauma responses. Left unexplained they read as indifference.

04

Functional impairment

Sleep, concentration, work and parenting. What the person can no longer do is often more probative than what they report feeling.

05

Country context

How conditions in the country of origin map onto the symptoms actually presenting.

06

Response validity

Symptom validity is tested and reported, so the question is answered by the evaluation rather than by opposing counsel.

What the record usually misses

A fragmented account is a symptom before it is a contradiction.

Where trauma explains the gaps, the report says so in terms an adjudicator can weigh.

Read at hearing

What it looks like, and what it is.

Four things routinely read as damage to credibility. Each has a clinical explanation, and the report is where it belongs.

HOW IT READS
The account changed between the first interview and the hearing.
He was flat and detached describing the worst of it.
She could not put the events in order.
He did not mention it until the third session.
WHAT IT IS
Trauma narratives commonly fill in as safety increases, and the direction of that change can itself be clinically meaningful.
Emotional numbing is a well-recognised symptom, and visible distress on cue is rarely the evidence people expect it to be.
Traumatic memory can encode fragmentarily. Sequence is typically among the first things lost and the last to return.
Delayed disclosure of sexual violence and torture is common rather than exceptional, and the delay is usually explainable.
Instruments

What gets measured on an asylum case.

Chosen against the referral question, administered and scored by the evaluator, and reported with what each measure was selected to answer.

Trauma and symptom picture
  • DAPSDetailed Assessment of Posttraumatic Stress
    Severity of trauma symptoms
  • MMPI-3Minnesota Multiphasic Personality Inventory-3
    The broad personality and symptom picture
  • BDI-IIBeck Depression Inventory-II
    Depression
  • BAIBeck Anxiety Inventory
    Anxiety
  • SIMSStructured Inventory of Malingered Symptomatology
    Whether symptoms are being exaggerated

Response validity can be especially important in forensic and immigration evaluations. In asylum, where the account carries much of the evidentiary weight, it helps keep the clinical findings separable from the narrative.

Corroborating measures
  • Clinical interviewSemi-structured, across sessions
    Paced so disclosure is not forced
  • Mental status examinationObserved presentation
    Affect, orientation, thought process
  • Functional reviewSleep, work, parenting, concentration
    What has changed since the events
  • Collateral recordsWhere counsel provides them
    Consistency across independent sources
  • Interpreter-free interviewConducted in Spanish where needed
    Nothing lost through a third party

Conducting the interview directly in the client's language matters here more than anywhere. Trauma narratives lose detail through an interpreter.

Every evaluation

Four parts, written to the standard of the filing.

01 Background & history02 Clinical findings03 Assessment results04 Opinion & basis
Information for attorneys
7–10

business days is the general timeline from the completed evaluation to the delivered report. An expedited timeline may be possible when a deadline is close.

Other filings

Every filing asks a different question.

Discuss the case before you refer it.

The pre-referral conversation costs nothing. If an evaluation is not indicated for the case, you should hear that first.